Individual provider · NPI-1

Heather Lan-Phuong Nguyen

Technician/Technologist · Mission Viejo, CA

NPI number1194340661
StatusActive
Last updated in NPPESJan 14, 2022

Details

NPI
1194340661
Entity type
Individual (NPI-1)
Name
Mrs. Heather Lan-Phuong Nguyen
Sex
Female
Sole proprietor
No
Enumeration date
Jun 10, 2020
Certification date
Jan 14, 2022
Last updated
Jan 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156F00000X Technician/Technologist326501CAYes

Practice location

26732 Crown Valley Pkwy
Mission Viejo, CA 92691-6306

Phone 949-364-1400

Mailing address

26732 Crown Valley Pkwy Ste 171
Mission Viejo, CA 92691-8535

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